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題名:重大政治事件後發生解離性木僵
書刊名:臺灣精神醫學
作者:高承業夏一新
作者(外文):Gao, Cheng-iehShiah, I-shin
出版日期:2001
卷期:15:3
頁次:頁246-251
主題關鍵詞:解離症解離性木僵解離性遊走歇斯底里反應Dissociative disorderDissociative stuporDissociative fugueHysterical reaction
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:4
  • 點閱點閱:77
     目的:本文提出一位在臺灣2000年總統選舉後出現解離性木僵的罕見病例。病例報告:一位49歲已婚男性,十五年前曾在多重壓力事件後出現解離性遊走,並於入院前八個月因憂鬱症接受抗鬱劑治療。此次則是在台灣2000年總統選舉後,因無法接受支持對象高票落選,出現急性歇斯底里反應以及解離性木僵症狀。病患在住院過程中接受情緒安撫、心理支持、保證、以及藥物治療,於第三天戲劇性恢復正常。結論:本文個案說明解離性木僵可因重大社會事件而誘發,必須小心鑑別診斷。
     Objective: The authors present an unusual case of dissociative stupor, which occurred following the year 2000 presidential election in Taiwan. Case report: A 49- year-old married man experienced dissociative fugue following several stressors about 15 years prior to the latest presentation, dramatically returning to normal after one week. Eight months prior to the current admission, the patient suffered a major depressive episode, with the depression remitting after antidepressant treatment. Immediately before this latest admission, he reacted with severe hysteria to the 2000 Presidential Election, developing dissociative stupor immediately after the event because he could not accept the election result. With reassurance, psychological support, and medical treatment, his dissociative symptoms subsided over a two-day period. Conclusion: This case provides clinical evidence that dissociative stupor can be precipitated by a major social event, and needs to be differentiated carefully.
期刊論文
1.廖士程、李宇宙、劉絮愷、李明濱、王聲昌、陳嘉新、鄭致道(20000300)。震災後緊急醫療站所見之急性壓力症候群。臺灣精神醫學,14(1),31-40。new window  延伸查詢new window
2.Ross, C. A.、Joshi, S.、Currie, R.(1990)。Dissociative experiences in the general population。Am J Psychiatry,147,1547-1552。  new window
3.Atchison, M.、McFarlane, A. C.(1994)。A review of dissociation and dissociative disorders。Aust NZ J Psychiatry,28,591-599。  new window
4.Good, M. I.(1993)。The concept of an organic dissociative syndrome: what is the evidence?。Harv Rev Psychiatry,1,145-157。  new window
5.Conway, A.(1993)。Difficulties in managing a case of stupor。Br J Psychiatry,162(6),826-828。  new window
6.Putnam, F. W.、Carlson, E. B.、Ross, C. A.(1996)。Patterns of dissociation in clinical and nonclinical samples。J Nerv Ment Dis,184,673-679。  new window
7.Jiri, M.、Gerhard, E.、Marianne, J.、Thomas, E.(1996)。Dissociative experiences and dissociative disorders in acute psychiatric inpatients。Comprehen Psychiatry,7,355-361。  new window
8.湯華盛、郭千哲、陳俊澤、蔡長哲、林世光、簡志龍、陳喬琪、胡維恆(20000900)。大地震罹難者家屬之急性精神疾病。臺灣精神醫學,14(3),58-67。new window  延伸查詢new window
9.Perry, J. C.、Jacobs, D.(1982)。Clinical application of Amytal interview in psychiatric emergency setting。Am J Psychiatry,139,552-559。  new window
10.Mamcros, A.、Jager, A.(1993)。Treatment of catatonic stupor with oral lorazepam in 14-year-old psychotic boy。Pharmacopsychiatr,26,259-260。  new window
11.Spiegel, D.、Cardena, E.(1993)。Dissociative reactions to the San Francisco bay area earthquake of 1989。The American Journal of Psychiatry,150,474-478。  new window
12.Coons, P. M.(1998)。The dissociative disorders: rarely considered and underdiagnosed。Psychiatr Clin North Am,21,637-648。  new window
會議論文
1.蘇東平、單元愷、江淑萍、歐陽文貞、周碧瑟(2000)。台灣2000年總統大選之急性精神障礙研究。中華民國精神醫學會八十九年度年會,56。  延伸查詢new window
圖書
1.World Health Organization(1992)。The ICD-10 Classification of Mental and Behavioral Disorder: Clinical descriptions and diagnostic guidelines。Geneva:WHO。  new window
2.American Psychiatric Association(1994)。Diagnostic and Statistical Manual of Mental Disorders。Washington, DC:American Psychiatric Press。  new window
圖書論文
1.Kaplan, H. I.、Sadock, B. J.(1998)。Dissociative disorder。Synopsis of Psychiatry, Behavioral Science and Clinical Psychiatry。Baltimore:Williams & Wilkins。  new window
2.闕淸模(1985)。解離性疾病及偽病。新編精神醫學。台北市:永大書局。  延伸查詢new window
3.郭峰志(1999)。無意識遊走,失踪十九天一解離性精神病。解開現代人的心結--四十則心理治療實例。台北市:健行文化出版社。  延伸查詢new window
 
 
 
 
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